Fawad Hameedi, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

53890 Issued in CT

Practice address

79 Washington Ave
North Haven, CT 06473-1704

Phone

(203) 456-8000

NPI assigned

Apr 12, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124318068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731704",
            "telephone_number": "203-456-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731704",
            "telephone_number": "203-456-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21876 Hartland Ave",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113643533",
            "country_code": "US",
            "telephone_number": "917-292-2482",
            "fax_number": "718-465-9792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Stony Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "CT",
            "postal_code": "068011053",
            "country_code": "US",
            "telephone_number": "203-456-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMEEDI",
        "first_name": "FAWAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "53890",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "53890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008073005",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Haffner, LPC
• Eric Thomas Haig
• Amanda Hall, APRN
• Shelley Victoria Halligan, PMHNP
• Pamela Halloran, COTA
• Hanger Prosthetics & Orthotics Inc
• Meaghan Harkins, RN, NBC-HWC
• Mary Ann Harmon, APRN
• Sana Haroon
• Steven Edward Harris, BCBA

• General Practice Physician in North Haven, CT
• Providers in North Haven, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.